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[老年人潜在不适当用药:法国共识清单的改编与评估]

[Potentially inappropriate medication for the elderly: adaptation and evaluation of a French consensus list].

作者信息

Kölzsch Marita, Bolbrinker Juliane, Huber Matthias, Kreutz Reinhold

机构信息

Institut für Klinische Pharmakologie und Toxikologie, Charité-Universitätsmedizin Berlin.

出版信息

Med Monatsschr Pharm. 2010 Aug;33(8):295-302.

PMID:21189649
Abstract

BACKGROUND

Appropriate pharmacotherapy is one of the most important topics due to demographic development in many industrialised countries. The purpose of our work was to evaluate and adjust a French consensus list for Germany.

MATERIALS AND METHODS

We conducted a thorough literature review with regard to the safety of drugs for the elderly.

RESULTS

Originally, 34 criteria containing drugs or drug classes were classified as inappropriate. From these, we evaluated 12 criteria as appropriate, and all others as potentially inappropriate, too. Frequently, drugs affecting the central nervous system, for example anticholinergics and benzodiazepines, were evaluated as potentially inappropriate medication.

CONCLUSION

Our adapted list may be used as recommendation for appropriate drug prescribing in the elderly in Germany.

摘要

背景

由于许多工业化国家的人口发展,适当的药物治疗是最重要的话题之一。我们工作的目的是评估并调整一份适用于德国的法国共识清单。

材料与方法

我们针对老年人用药安全性进行了全面的文献综述。

结果

最初,34条包含药物或药物类别的标准被归类为不适当。其中,我们评估了12条标准为适当,而其他所有标准也被评估为可能不适当。影响中枢神经系统的药物,例如抗胆碱能药物和苯二氮䓬类药物,经常被评估为可能不适当的药物。

结论

我们调整后的清单可作为德国老年人适当药物处方的推荐。

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1
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Med Monatsschr Pharm. 2010 Aug;33(8):295-302.
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引用本文的文献

1
Polypharmacy and potentially inappropriate medications: a cross-sectional analysis among 451 nursing homes in France.多重用药与潜在不适当用药:法国451家养老院的横断面分析
Eur J Clin Pharmacol. 2017 May;73(5):601-608. doi: 10.1007/s00228-016-2193-z. Epub 2017 Jan 16.
2
Inappropriate prescribing: a systematic overview of published assessment tools.不适当处方:已发表评估工具的系统综述
Eur J Clin Pharmacol. 2014 Jan;70(1):1-11. doi: 10.1007/s00228-013-1575-8. Epub 2013 Sep 10.
3
[Potentially inappropriate medication: the quality of pharmacotherapy in the elderly].
[潜在不适当用药:老年人药物治疗的质量]
Internist (Berl). 2012 Sep;53(9):1125-30. doi: 10.1007/s00108-012-3087-5.